Treatment of Achilles Tendonitis
A bursa is a tiny sac of fluid that cushions the moving parts of the body such as muscles, tendons and bones, limiting friction between them. There are around 160 bursae in the human body, helping the body to keep moving. Bursitis is inflammation of the bursa, which is a common cause of Achilles Tendonitis. In cases of Achilles Tendonitis there is inflammation to the bursae that surround the achilles tendon this causes the heel pain.
Symptoms can of Achilles Tendonitis can include:-
- Pain and irritation at the back of the heel.
- Redness and swelling of the ankle.
- Pain when extending the ankle.
- Stiffness of the lower leg that is worse in the mornings.
- Mild pain after exercising, that gradually increases in cases of Achilles Tendonitis.
- Lack of flexibility in the calf muscle, resulting in overuse of the tendon.
- Exercise involving stair or hill climbing.
- Flat feet
- Ill-fitting shoes
- Overuse – Repeated stress on the Achilles Tendon can lead to inflammation.
- Conditions such as Rhematoid Arthritis are more prone to tendon bursitis in cases of Achilles Tendonitis
Treatment of Achilles Tendonitis will depend on the severity of the condition, but common treatments to relieve or aid healing of heel pain include:-
- Non- steroidal anti- inflammatory drugs such as Ibuprofen can help relieve pain and reduce inflammation in cases of achilles tendonitis.
- Rest – This allows the condition to settle down.
- Podiatry Treatment – This can help to strengthen weak muscles.
- Steroid injections can help but there can be a problem with risk of tendon rupture.
- Surgery – On rare occasions this is used to repair tears and remove fibrous tissue.
- Shoe inserts such as orthoses, or heel lifts – To reduce stress on the tendon. Heel elevation helps to tip the heel forwards and decrease the pitch angle. This also helps the heel to slide forward in the shoe, reducing pressure on the projection.
- Properly fitting shoes, which are deep with a wide toe box, lace up or Velcro’s will help to control any external shearing forces, that cause Achilles Tendonitis.
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